ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Correct Answer: D
Rationale: Synchronized cardioversion is appropriate for unstable VT with a pulse to restore normal rhythm.
Question 2 of 5
A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)
Correct Answer: C,D
Rationale: C: Oral contraceptives increase clotting risk due to estrogen. D: Immobility reduces venous return, increasing DVT risk.
Question 3 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: D
Rationale: Metformin can interact with contrast material, increasing the risk of acute kidney injury, and is typically held.
Question 4 of 5
A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Correct Answer: D
Rationale: Reducing blood pressure by 25% to 30% within the first hour, aiming for up to 50%, is the goal in hypertensive emergency.
Question 5 of 5
A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: A: Fluid overload increases blood pressure. B: Increased heart rate compensates for fluid overload. D: Increased respiratory rate compensates for reduced oxygenation.